Provider Demographics
NPI:1518504331
Name:LANGAN, KAREN A (WAIVER)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:LANGAN
Suffix:
Gender:F
Credentials:WAIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-6044
Mailing Address - Country:US
Mailing Address - Phone:603-447-8137
Mailing Address - Fax:
Practice Address - Street 1:146 OAK ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-2025
Practice Address - Country:US
Practice Address - Phone:603-752-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-01
Last Update Date:2019-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker